OBJECTIVE: To demonstrate the feasibility of day case laparoscopic sacral colpopexy with the help of a fast tracking protocol.
METHODS: Three motivated patients suffering from external cystocele have been strictly selected from September 2011 to October 2011 according to criteria such as Body Mass Index, ASA score, comorbidities et French day case rules. Laparoscopic sacral colpopexies consisted in anterior and posterior polyesther meshes sutured with non-resorbable wires. We are used to proceed through a SILS(©) unique ombilical port. We have used standard and straight laparoscopic instruments and laparoscope. The bladder catheter has been removed two hours after surgery, the patients have been encouraged to stand up and they have received a light meal before Chung score has been quoted. The patients have been discharged in the evening before 7 pm.
RESULTS: The patients are 65, 67 and 66 years old, two of them had a past history of pelvic surgery. We did not deplore any complication during the procedure, no blood loss, no laparoscopic conversion (additional trocar); the procedures durations were 92, 120 and 124min. These three patients have not been readmitted. Clinical examination has been scheduled between 6 and 8weeks after surgery. We did not describe any pelvic or parietal complication, no early recurrence.
CONCLUSION: We have demonstrated here the feasibility in good security conditions of day case laparoscopic sacral colpopexy for genital prolapse. A fast tracking protocol is essential and selecting the patients is required.
Written by:
Drapier E1, De Poncheville L2, Dannappel T2, Clerc P2, Smirnoff A3 Are you the author?
1Capio clinique du Mail, 96, allées du Mail, 17000 La Rochelle, France. Electronic address: . 2Capio clinique du Mail, 96, allées du Mail, 17000 La Rochelle, France. 3Centre hospitalier Saint Louis, rue du Dr-Schweitzer, 17000 La Rochelle, France.
(Article in French)
Reference: Prog Urol. 2014 Jan;24(1):51-6 (Epub 2013 Aug 13)
doi: 10.1016/j.purol.2013.07.007
PubMed Abstract
PMID: 24365629
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